...Section 1877 of the Social Security Act (the Act) (42 U.S.C. 1395nn), also known as the physician self-referral law, or Stark Law, intends to prevent the misappropriation of or over utilization of healthcare that could result from incentivized diagnostic ordering protocols that may be a direct result of financial relationships that could influence healthcare decisions. The law is named for its author, United State Congressman Pete Stark, a Democrat from California, who authored and supported the creation of this piece of legislation. The law’s purpose is to prohibit a physician from referring a patient for designated health services (DHS) to any organization that the physician or a member of his/her immediate family has a financial relationship. Exceptions to the law exist and will be examined in later sections of this reflection. Originally the Stark Law (Stark I) only applied to referrals of Medicare Beneficiaries, but Section 1877 of the Social Security Act (the Act) (42 U.S.C. 1395nn), also known as the physician self-referral law, or Stark Law, intends to prevent the misappropriation of or over utilization of healthcare that could result from incentivized diagnostic ordering protocols that may be a direct result of financial relationships that could influence healthcare decisions. The law is named for its author, United State Congressman Pete Stark, a Democrat from California, who authored and supported the creation of this piece of legislation. The law’s...
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...Stark Law and Radiologic Imaging Stark Law: some people consider it a highly needed federal law to help protect patients and insurance companies; others dread even the name and feel that it is just another way the federal government interferes with individuals’ daily lives, and see it as an unwanted intrusion into the practice of medicine. What is Stark Law and why was it enacted? Stark Law is actually three separate provisions that govern physicians’ self-referrals, mostly for payment by Medicare patients; it is also known as “the self-referral law.” “The law is named for United States Congressman Pete Stark, who sponsored the initial bill (“STARK LAW,” n.d., para. 1). The first phase became effective on January 1, 1992 (Taromina, 2013, p. 83). It prohibited a physician from referring a patient to a clinical laboratory with which they, or an immediate family member, had a financial relationship. The second phase became effective on January 4, 2001 (Taromina, 2013, p. 83). Stark II applied the already-enacted laws to Medicare and Medicaid patients, and extended the restrictions to include additional designated health services (DHS): physical therapy, occupational therapy, speech therapy, radiology services, radiation therapy, durable medical equipment and supplies, parenteral and enteral nutrients, equipment, and supplies, prosthetics, orthotics, and prosthetic devices and supplies, home health services, outpatient prescription drugs, inpatient and outpatient hospital services...
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...resources, if any, that are reasonably available, informed that they have the option to use one of the alternative resources, and assured that they will not be treated differently by the physician if they choose an alternative provider or entity. Physicians should make referrals to providers based only on the needs of the patient and the medical standard of care in order to provide quality health care to their patients. References: Stark 42-USC-1395nn 42 C.F.R. 411.350 et seq. Stark 42-USC-1320a-7b 42 C.F.R. 1001.951 American Medical Association Council on Long Range Planning and Development in cooperation with the Council on Constitution and Bylaws, and the Council on Ethical and Judicial Affairs. Policy Compendium. Chicago: American Medical Association, 1999, E-8.00, 106-111. Code of Medical Ethics, Current Opinions and Annotations, Council on Ethical and Judicial Affairs, American Medical Association: 95, 108-112. The Physician Ownership and Referral Act (PORA) Cal. Bus. & Prof. Code §650.01 Stark II Regulations: The Good, The Bad & The Ugly, Law Watch, Foley Lardner Weissburg & Aronson, Jan. 15, 1998. Disclosing Physician Financial Incentives, JAMA, 1999;281: 1424-1430. Adopted by the Board of Trustees, 9/24/99 Amendments adopted by the Board of Trustees, 2/21/04 POLICY 33 Disclosure of Financial Interest in Prescribed...
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...to run the car , it won’t run. So we chacked the machine of the car and discovered that the problem is in the accelerator, it is broken. We cannot buy the parts here because it is not available in the shops. I am returning it to you so that you can check it. The car show is fast approaching, and I;d like you to send it back 3 weeks before the show. Therefore, I’d like really appreciate a replacemnt of the broken parts as soon as possible. I am confident that you will respond to my problem immediately. Yours truely, Jephunneh Shem Molon Jephunneh Shem A. Molon Jephunneh Shem A. Molon #79 west ave. Salongga Hills Bajada, Davao City February 2, 2015 TONY STARK Stark Industries 34 street Califormia USA Mr Stark: I am jephunneh Shem Molon of Eastern Industries and I am an IT expert. I am very curious about your very new MK42 suit that you have used last 2014 WTC convention. I really want to know about the suit because I am studying it for a quite long time because really want it to compare it to your other suits tha you have made, and I hope that you will be moved and answer my questions: * How does it work? * How much does it cost? * What are the new upgrades that you have made? Thank you very much for the answer, you can email me at my address at Freshcrew23@gmail.com, thank you again. Sincerely yours, Jephunneh Shem Molon Jephunneh Shem A. Molon Jephunneh...
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...Influenced by Politics from the 1940s, Robert Penn Warren novel gets inspiration from Huey Long’s life a Louisiana Governor, Senator, a politician who is recreated in Warren novel as Willie Talos. Warren also creates Jack Burden to narrate the story of Long, who is being characterised as Willie Talos. The story of Jack Burden in Robert Penn Warren’s book All The King's Men, tells the story of how he gets involved in Willie Talos political life as his employe, and as his loyal friend. Jack Burden, who narrates his life and Willie Talos story, self-declaring that “the story of Willie Talos and the story of Jack Burden are in a sense the same story”(224) really narrating how Warren thought that Huey Long's life was by creating a story to Long's life. Starting Jack Burden was born in 1897 from an affair that his mother had with Morty Irwin, referred in the story as “The Judge”, to clarify Jack’s mom does not marries Morty Irwin even though she loves him because he is the fiance of Ellis Burden the person who Jack considers his true father. Later on in his childhood Ellis Burden leaves because he realizes that his best friend Morty Irwin has been having affairs with his wife so he leaves Jack’s mom for another woman. Because of this event in his life makes Jack hates his father and starts disliking his mother. Jack’s mother finishes getting married multiple time throughout her lifetime. Due to the events that he lived in his childhood Jack’s has a really close mindset. As a matter...
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...abilities when he describes his ability to drive five giants into chains and defeats Grendel with his bare hands. “Heard in his home: of heroes then living/ he was the stoutest and strongest/sturdy and noble”(line 8-12). Through these experiences that the author tells about in the epic, it is obvious that Beowulf is more than an ordinary man. His strength is tested by mythical beings that Beowulf has easily defeated. He also has some of the mental characteristics that are common to an epic hero including, his lack of self-righteousness and his perseverance while in battle. In the story Beowulf, Beowulf takes on a responsibility of fighting a dragon, this responsibility resulted in him dying at the end of the story. In Iron Man, Tony Stark builds Iron Man to save himself and help his country win a war and save his country and the person he loves. Both characters put their lives on the line and saved their own country and people. Beowulf and Iron Man are both symbols of hope in their stories. When reading about Beowulf going off to defeat the dragon, all of his companions abandon him except one and realizing that Beowulf is...
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...SYNOPSIS Iron Man 3 is an American superhero film featuring the Marvel Comics character Iron Man, produced by Marvel Studios and distributed by Walt Disney Studios Motion Pictures. It was published on 2013 and it is the sequel to 2008's Iron Man and 2010's Iron Man 2. This film tells the story of Tony Stark (Iron Man) where he try to contending with his own creation robot. Iron Man entered another dimension in this film where he was given an order to save New York City. Tony haunted by his past experience and was unable to sleep. He throws himself into his work with such intensity that it begins effect on both his mental health and his relationship with his girlfriend. Tony has only started to realize his problems when an the terrorist named the Mandarin hijacks the airwaves and threatens to bring his country (America) to its knees with a painful series of attacks and it even make the American President won't be able to ignore. When Tony's former security guard is badly injured in an explosion caused by one of the Mandarin's agents, they issues a public threat that results in his home being completely destroyed in a serious attack and make him to face his enemy with only one damaged prototype suit Iron Man. Fortunately, Tony is not alone with the help of Col. James Rhodes and a young boy named Harley. He pieces together the mystery of the Mandarin, whose final attack promises to be the most painful of all. MORAL LESSON From this film we can noticed that there are many problems...
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...about man versus machine overall. The deception is between the man and later in the movie, the machine he becomes himself is astounding. The between two men and the future machinery production of Stark Industries. The Explosion, the creation, the revenge with redemption of Tony Stark. The feeling of Tony Stark that runs like a machine that runs with no emotion as man or machine. Starting off, Tony Stark was the genius behind all what the Stark industries provided to the military. No feeling of awards or arriving on time was anything to Tony Stark. First common ground anyone can establish that Tony was like a well-oiled machine with the lack of feeling and only worked on other machines. First part of the movie, Stark is consumed with his work by building a new car engine and not the award ceremony he was bestowed upon later that night to where the general had to come find Tony Stark. In the beginning, Tony Stark is in an armored truck in Kunar Province, Afghanistan listening to hard rock called “Back in Black by AC/DC”. Later, in the movie, more hard rock is played showing man versus machine as machine is hard...
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...Business Paper #2 In a capitalist environment, one's purchases can often be described as “voting,” and can attest to that person's character and personality. The Values, Attitudes and Lifestyles (VALS-2) are a psychographic research method which was developed around this concept and attempts to divide consumers into eight archetypal categories which describe their patterns of consumption. These categories include innovators, thinkers, believers, achievers, strivers, experiencers, makers and survivors. The innovator is the success story. He has the highest income of all and makes purchases based on an image of sophistication. Just as many success stories, the innovator's value of personal development often drives them to various intellectual activities, creating a very well-informed and politically active social persona with a high amount of social and financial resources. This produces an optimistic and self-confident archetype, which is involved in various organizations and is also very outgoing and open to change. These are the leaders in our business and government. As a consumer, the innovator prefers products which reflect good taste and character and their open-mindedness makes them very receptive to new ideas, technologies and products. However, cutting-edge products often come at a risk. Experience in the market, as well as a drive towards intellectual pursuit makes innovators very skeptical of advertising. The thinker is one who values education and...
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...Willie Stark Willie Stark is a human being, endowed with the ability to feel and act in equal measure. In the beginning of the chapter, when he is the County treasurer for Mason City, he is shown as a frustrated young man who is unable to convince Pillsbury against building the School house through J. H. Moore whose rates are high but quality is low. He voices his protest against Pillsbury and expresses concern over his undertaking. He feels dejected when his suggestion goes unheard. However, when the building collapses under its weight, people remember Willie Stark and his warning. During the elections, when Willie becomes aware of the dirty plan of Harrison, he feels insulted. He frets and fumes about the injustice done to him but when he recovers from his depression; he exposes the hypocrisy of Harrison and declares his withdrawal from the contest. Therefore Willie acts in spite of being emotionally disturbed. After he becomes the Governor, he faces numerous problems, which affect him emotionally but he always takes hold of the situation and plans the course of action accordingly. Stark is an emotional fool but he is also a man of action. Willie is a man with a vision and a mission. Earlier, he had envisaged building a sturdy Schoolhouse, which would give confidence to its students to learn well and put in their best efforts. When he becomes the governor, he plans to use the State funds for developmental activities like making good roads and building hospitals...
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...The contents of the letter didn't give Rhodey any peace of mind or closure, just more questions. But sure enough a few days later, after being outfitted with a special made bionic legs by Toni Stark herself, he was able to walk with assistance or a dual canes. He contacted Pepper and informed her of his letter. They made a plan to meet the next Tuesday, May 16th. +++++ +++++ +++++ Toni's apartment is a mess. Of course certain rooms are clean, spotless actually, but most rooms have piles of discarded ideas, and contraptions Toni figured she work out later. There were 8 rooms, not including bathrooms, in the apartment, Pepper got the four on the right, Rhodey got the four on the left and they'd work their way through looking for the secret...
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...and the direness of the death of the tourist. Most of “Casual Wear” focuses on “your average tourist” and “your average terrorist;" it is not until the last two lines that the poem reveals, indirectly, that the terrorist is responsible for killing the woman, who is given the title, in the last two words of the poem, “wife” (Merrill 907). The unexpected outcome provides the reader with the fierce shock of reality on a personal level. Since the only name given to the woman is “wife” and the odds were “1 to 910 against her strolling past the Embassy,” the reader is given the impression that this is something that could happen to anyone, anywhere (Merrill 907). The shift in tone from detached to very personal provides the reader with the stark contrast between a generalized newscast and the very personal level on which people are affected by the events being covered. The events that make the news, however, have a different effect on different individuals, which Merrill suggests in the last two lines of “Casual Wear.” In line eleven, Merrill provides the outcome of the attack for both the terrorist and the tourist; the terrorist is left with the satisfaction of “claiming...
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...projection of how many hardships the faced to keep the secret: running in dirty uneven lanes, with gutters, children playing, crowd moving about. 2. A director’s decision on what camera movement for what shot? The decision is a combination of Director’s POV i.e. what he wants to communicate or what does he want the audience to focus on and the audience tendency of observing things i.e how best can he leave an impact on them. The camera angles used in the alley where the main subjects dwell are done in a sense as if to convey the crunch for space each time and to enhance the proximity of the situation. Contrast to that, the usage of the long shots during the scene of the uptown highways and bridges shown to convey the expanse and create the stark difference of the two parts of the city audience...
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...The Parable of The Sadhu Reflection by: Austine Mae Gabales Mgt19 MTH 10:30-12:00 The Sadhu provides a parallel to business situations — both require quick responses where indecision can have grim consequences. As on the mountain, most business decisions occur absent all relevant information. Also, in our business lives our rush to succeed can let our goals interfere with doing the right thing. I would suggest that most of us have become numb to situations we confront because of their banality and our drive to achieve. Sometimes we just look through or past issues. Moral decision-making does not occur in a vacuum. The real test of personal and corporate values is what you do under stress. Judgments rendered under pressure reveal more about our character than pronouncements of corporate ethics do. As you think about the “Parable,” bear in mind that decisions made in the comfort of your office or home may not be the ones you would make on top of a cold mountain, or more to the point, under job stress. To a large degree, stress and teleopathy, the overzealous pursuit of a goal, limit us all. Greed, singleness of purpose, rationalization and detachment conspire to keep Sadhus out of our lives. The detachment of politicians and the greed of business people combined to induce the financial meltdown, and the rationalization that followed elucidates how unfortunate decisions can impact or destroy others. Last week, I received upsetting news about my close friend. She asked me...
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...“Ushpizin” is a movie based off of a couple, Moshe and Malli, who are part of an Orthodox Jewish group in Jerusalem. Moshe is a rabbi and his wife stays at home. At the beginning of the movie, Moshe and Malli are desperate for money and after hours of prayer, they received $1000.00 unexpectedly. The entire movie is focused around the Jewish Sukkot Festival. Throughout the movie, some viewers may find intriguing that a citron was worth 1000 shekels and that the Jewish people spend a lot of time setting up a Sukkah. Viewers may also find that when Moshe accepted his “friends” back into his home interesting, especially after he heard them talk badly about his wife. Provided that obtaining a citron is part of the four species within Judaism, 1000 shekels was an extremely expensive price. However, this citron was considered the perfect one. A citron is a large, yellow fruit that is similar to a lemon. When Moshe and Malli got the unexpected money, the citron was the first item that Moshe purchased. Jews choose a citron at the time of the Sukkot festival to bring good luck to the family. Some viewers may find this shocking to spend 1000 shekels on just a lemon, but what about allowing your friends to talk badly of your family? Accepting friends and family into your life during the Sukkot Festival is another way the Jewish people bring good luck. During one scene in the movie, Moshe passed his Sukkah and overheard his “friends” talking badly about his wife and how she does not have...
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